US12369866B2 - Electromagnetic navigation assembly and computed tomography scanner patient table, surgery system including the same, and method using the same - Google Patents
Electromagnetic navigation assembly and computed tomography scanner patient table, surgery system including the same, and method using the sameInfo
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- US12369866B2 US12369866B2 US17/276,901 US201917276901A US12369866B2 US 12369866 B2 US12369866 B2 US 12369866B2 US 201917276901 A US201917276901 A US 201917276901A US 12369866 B2 US12369866 B2 US 12369866B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
- A61B6/035—Mechanical aspects of CT
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0487—Motor-assisted positioning
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/54—Control of apparatus or devices for radiation diagnosis
- A61B6/548—Remote control of the apparatus or devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
- A61B1/2676—Bronchoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2072—Reference field transducer attached to an instrument or patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
- A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
- A61B6/0442—Supports, e.g. tables or beds, for the body or parts of the body made of non-metallic materials
Definitions
- Electromagnetic (EM) navigation has helped expand medical imaging, diagnosis, prognosis, and treatment capabilities by enabling a location and/or an orientation of a medical device to be accurately determined while the device is within the body of a patient.
- EMN Electromagnetic navigation
- One example of a medical procedure in which EMN is employed is ELECTROMAGNETIC NAVIGATION BRONCHOSCOPY® (ENBTM), which includes a planning phase and a navigation phase.
- a computed tomography (CT) scan of the chest of the patient is used to generate a virtual three-dimensional bronchial map of the patient and a planned pathway for the navigation phase.
- CT computed tomography
- an antenna assembly radiates an electromagnetic field throughout the chest of the patient, a practitioner inserts into the airway of the patient an electromagnetic sensor that senses the radiated electromagnetic field, and a computing device determines a location and/or an orientation (e.g., relative to the planned pathway) of the electromagnetic sensor based on characteristics of the sensed electromagnetic field.
- the burden of generating electromagnetic field mappings increases in circumstances where multiple antenna assemblies are employed. For example, in order to enable an electromagnetic sensor to reach deeper portions of the body of the patient, and/or remain within the body during subsequent medical procedures without interfering with additional medical devices, it may be desirable to employ a small electromagnetic sensor, such as a single-coil electromagnetic sensor. However, to employ a small electromagnetic sensor for EMN while maintaining the ability to determine multiple (for example, six) degrees of freedom of the sensor, multiple antenna assemblies may be required to increase the number of radiated electromagnetic fields to be sensed. In such a case, the above-noted exhaustive mapping procedure may need to be conducted for each antenna assembly design. Moreover, given potential variations from manufacturing, the mapping procedure may even need to be completed for each instance of a specific antenna assembly design (i.e., each individual antenna assembly manufactured).
- An ablation system may be used with an electromagnetic ultrasound guided needle tracking.
- the ablation system may be used for intraoperative procedures where ultrasound imaging is used without real time CT imaging.
- the EM field generator is placed under the patient anatomy targeted for intervention. This configuration is not compatible to real time CT based interventions due to the location of the field generator existing within the CT imaging plane. A large portion of the ablation procedures take place within the interventional CT suite. Therefore, there is a need for an EMN system to be used within an interventional CT suite.
- an EM device includes an antenna assembly for radiating at least one electromagnetic field for electromagnetic navigation.
- the EM device also includes a moving arrangement coupled to the antenna assembly and configured to either move the antenna assembly toward and away from a CT scan plane or move a patient toward and away from the antenna assembly.
- the moving arrangement moves the antenna assembly in a direction perpendicular to the CT scan plane.
- the moving arrangement moves the antenna assembly in a foot-to-head trajectory of a patient table.
- the moving arrangement includes a rail structure and/or a plurality of wheels.
- the moving arrangement may be operable by manual operation, an electric motor, and/or an electromagnet.
- the EM device may also include a patient table housing the antenna assembly and the moving arrangement.
- an operating system in a further aspect of the present disclosure, includes a CT scanner defining a CT scan plane, and a patient table housing an antenna assembly and a moving arrangement.
- the antenna assembly may radiate at least one electromagnetic field for electromagnetic navigation.
- the moving arrangement may be configured to move the antenna assembly away from and toward the CT scan plane or move the patient toward and away from the CT scan plane.
- the moving arrangement may be adapted to enable a patient to cross the CT scan plane.
- FIG. 13 shows an example design of a loop antenna layout trace placement, in accordance with an embodiment of the present disclosure.
- the user may select the location of the EM field generator by either manually pushing and/or pulling the generator between positions with a rod, rope, and/or handle coupled to the generator, activating an electric motor which engages a mechanism to move the field generator (by, for example, a worm drive, pulley, or cable, etc.), or activating an electromagnet to pull the generator into the position not favored by gravity (likely the CT imaging position).
- the user interface may be a hand held remote control or cable tethered button and/or switch to select the position.
- the accessory may directly connect to the ablation platform CPU through a simple communication interface (for example, a cable or wireless link).
- the field generator position control may be a button on a GUI.
- the present technology enables a user friendly and high performing EM tracked ultrasound guided needle placement within procedures using real time CT imaging.
- the present disclosure is directed to antenna assemblies for radiating electromagnetic fields for electromagnetic navigation, electromagnetic navigation systems that include such antenna assemblies, and computer-implemented methods of designing such antenna assemblies.
- an antenna assembly herein by virtue of geometrical and other aspects of an antenna assembly herein, the need to generate and employ a detailed electromagnetic field mapping can be avoided by instead enabling an electromagnetic field mapping, theoretically computed based on characteristics of the antenna assembly, to be employed either alone or in conjunction with a more easily generated low-density electromagnetic field mapping obtained from measurements.
- the antenna assembly herein can serve as the basis upon which to generate an accurate high-density theoretical electromagnetic field mapping for EMN, without having to use expensive measuring equipment and without having to perform time-consuming and laborious measurements.
- an antenna assembly herein includes on a single substrate multiple planar antennas having characteristics, such as geometries and/or relative locations that are diverse from one another, that enable multiple (for example, six) degrees of freedom of a small electromagnetic sensor, such as a single-coil sensor, to be determined.
- an antenna assembly herein includes a trace that is deposited on a layer of a substrate and that forms multiple loops with the spacing between loops and the spacing from a boundary or edge of the substrate that result in efficient use of the available area of the substrate.
- an automated, or semi-automated, highly reproducible computer-implemented method for designing an antenna assembly is provided herein.
- An antenna assembly design generated in this manner can be exported into a printed circuit board (PCB) layout software tool to minimize the need for a large amount of manual layout.
- the antenna assembly design can also be exported into an electromagnetic field simulator software tool to enable the generation of a theoretical electromagnetic field mapping for the antenna assembly.
- PCB printed circuit board
- the EM sensor 112 affixed to the EWC 111 or the EM sensor affixed to the LG is configured to receive a signal based on an electromagnetic field radiated by the antenna assembly 145 , and based upon the received signal, is used to determine a location and/or an orientation of the EWC 111 or the LG during navigation through the luminal network of the lung. Due to the size restriction of the EM sensor 112 relative to the EWC 111 or the LG, in some cases the EM sensor 112 may include only a single coil for receiving one or more EM signals generated by way of an antenna assembly 145 as described in further detail below. However, the number of coils in the EM sensor 112 is not limited to one but may be two, three, or more.
- the computing device 120 such as a laptop, desktop, tablet, or other suitable computing device, includes a display 122 , one or more processors 124 , one or more memories 126 , an AC current driver 127 for providing AC current signals to the antenna assembly 145 , a network interface controller 128 , and one or more input devices 129 .
- the particular configuration of the computing device 120 illustrated in FIG. 1 is provided as an example, but other configurations of the components shown in FIG. 1 as being included in the computing device 120 are also contemplated. In particular, in some embodiments, one or more of the components ( 122 , 124 , 126 , 127 , 128 , and/or 129 ) shown in FIG.
- the AC current driver 127 may, in some example aspects, be separate from the computing device 120 and may be coupled to the antenna assembly 145 and/or coupled to one or more components of the computing device 120 , such as the processor 124 and the memory 126 , by way of one or more corresponding paths.
- the EMN system 100 may also include multiple computing devices 120 , wherein the multiple computing devices 120 are employed for planning, treatment, visualization, or helping clinicians in a manner suitable for medical operations.
- the display 122 may be touch-sensitive and/or voice-activated, enabling the display 122 to serve as both an input device and an output device.
- the display 122 may display two-dimensional (2D) images or three-dimensional (3D) images, such as a 3D model of a lung, to enable a practitioner to locate and identify a portion of the lung that displays symptoms of lung diseases.
- the one or more memories 126 store one or more programs and/or computer-executable instructions that, when executed by the one or more processors 124 , cause the one or more processors 124 to perform various functions and/or procedures.
- the processors 124 may calculate a location and/or an orientation of the EM sensor 112 based on the electromagnetic signal that is radiated by the antenna assembly 145 and received by the EM sensor 112 .
- the processors 124 may also perform image-processing functions to cause the 3D model of the lung to be displayed on the display 122 .
- the processors 124 may also generate one or more electromagnetic signals to be radiated by way of the antenna assembly 145 .
- the computing device 120 may further include a separate graphic accelerator (not shown in FIG.
- the one or more memories 126 also store data, such as mapping data for EMN, image data, patients' medical record data, prescription data, and/or data regarding a history of the patient's diseases, and/or other types of data.
- FIG. 2 is a graphical illustration of an example antenna assembly layout 200 of the antenna assembly 145 of the EMN system 100 , according to an embodiment of the present disclosure.
- the antenna assembly layout 200 includes a substrate 210 , such as a printed circuit board (PCB), which is formed of an electrically insulating material and may include one or more layers.
- the antenna assembly layout 200 also includes multiple planar antennas 220 , which are formed of an electrically conductive material, such as a PCB trace, deposited on the substrate 210 and arranged in multiple loops or as a coil. In one example, each of the planar antennas 220 is deposited on a respective one of the layers of the substrate 210 . In the example antenna assembly layout 200 of FIG. 2 , multiple layers of the substrate 210 are shown simultaneously.
- Each of the multiple antennas may be configured to radiate a separate EM field, for example, using frequency division multiplexing and/or time division multiplexing controlled by the processors 124 or by another generator.
- the antennas in some aspects, may be configured to radiate multiple EM fields sufficient in number and/or sufficient in diversity of characteristics (such as frequency, time, modulation scheme, and/or the like) to enable a single-coil electromagnetic sensor mounted on the EWC 111 , or on any other medical device, to be used to determine the location and/or the orientation of the sensor, the EWC 111 , and/or the medical device.
- the antenna assembly 145 may, for instance, include six to nine or more loop antennas.
- the distances between its adjacent loops increase as the loops become larger.
- respective distances between adjacent pairs of loops may increase in a direction from an innermost one of the loops to an outermost one of the loops of the respective planar antenna.
- two or more of the loop antennas of the antenna assembly 145 may have a same number of loops, or may have respectively different numbers of loops.
- the present description of the method 300 will be made in the context of designing an antenna assembly that includes multiple antennas.
- the present description of the method 300 will be made in the context of designing an antenna assembly that includes multiple antennas.
- certain aspects of the method 300 will be described only with respect to the design of a single one of the multiple antennas, those aspects of the method 300 apply similarly to the other ones of the multiple antennas.
- each loop of the antenna assembly grows from the seed shape toward the boundaries of the substrate and effectively covers most of the available surface area of the substrate layer outside of the seed shape.
- the two ends of the trace are routed to a connector location to enable the antenna to be coupled to a signal generator.
- data corresponding to the designed antenna layouts can be exported to an electromagnetic field simulation tool for simulating the electromagnetic field (for example, the theoretical electromagnetic field mapping for EMN described above) that the respective antennas would generate based on their particular characteristics.
- the data corresponding to the designed antenna layouts can also be exported to a PCB manufacturing tool to enable the antenna assembly to be manufactured in an automated manner, in accordance with the designed antenna layouts.
- the three seed rectangles in each group have specific geographical relationships with respect to one another.
- one seed rectangle is a square (or substantially square-like), and the other two seed rectangles are non-square rectangles and are located near two sides of the square.
- the seed rectangle 401 is a square
- the seed rectangle 402 is located in line with the length of the seed rectangle 401
- the seed rectangle 403 is located in line with the width of the seed rectangle 401 .
- the length of the seed rectangle 402 is longer than the width of the square 401 , and is similar to the length of the seed rectangle 401 , while the width of the seed rectangle 402 is smaller than the width of the square 401 ; and the width of the seed rectangle 403 is longer than the length of the square 401 and is similar to the width of the square 401 , while the length of the seed rectangle 402 is smaller than the length of the square 401 .
- the seed rectangles 404 - 406 of the second group and the seed rectangles 407 - 409 of the third groups also have the similar geometric features as the seed rectangles 401 - 403 of the first group.
- each group has an angular relationship with respect to the two axes (i.e., the x axis and the z axis).
- the seed rectangle 401 of the first group is congruent with the two axes, while the seed rectangles 404 and 407 of the second and third groups are angled with respect to the two axes with different angles, respectively.
- the smallest angle between the seed rectangle 401 or the square of the first group and the x axis is zero; the smallest angle between the seed rectangle 404 and the x axis is greater than zero but less than the smallest angle between the seed rectangle 407 of the third group and the x axis.
- the relationship among three groups is not limited to the geometric and angular relationships but can be expanded in any readily conceivable way for a person having ordinary skill in the art within the scope of this disclosure.
- each of the seed rectangles 401 - 409 may be provided in a coordinate form (x, z) in the x-z plane.
- a centroid of each of the seed rectangles 401 - 409 may also be provided in coordinate form or can be calculated from the four vertices.
- Dispersion may also be achieved by dispersing the centroids within the substrate 210 .
- centroids of all seed rectangles 401 - 409 are disposed on the substrate in positions that are distinct from each other.
- an antenna index i antenna is initialized.
- i antenna is set equal to 1 to correspond to the first antenna of the multiple (M, where M>1) antennas of the antenna assembly to be designed.
- the purpose of the antenna index i antenna is to enable the procedure 300 to be repeated, in the case of antenna assemblies including multiple antennas, for each antenna of the M antennas of the antenna assembly.
- the substrate has multiple layers (for example, as in a multi-layer PCB) and the method 300 is employed to generate multiple planar antenna layouts corresponding to the antennas to be deposited on corresponding ones of the multiple layers of the substrate.
- multiple diagonal lines are computed, relative to a coordinate system of the substrate, based on the seed rectangle.
- the number of diagonal lines computed at block 302 equals the number of vertices of the seed shape.
- four diagonal lines are computed that bisect the four vertices of the seed rectangle, respectively, and extend from the four vertices of the seed rectangle, respectively, to the boundary of the substrate.
- the boundary of the substrate may be a physical boundary of the substrate, such as an edge of a PCB, or may be a theoretically imposed boundary, such as a boundary offset from the edge of the PCB by a predetermined buffer distance.
- origins for the diagonal lines of each of vertex of the seed rectangle are first calculated, and then vertices of the innermost loop of the antenna (also referred to as seed vertices) are determined based on the seed rectangle.
- FIG. 5 shows origins 511 and 512 that are calculated for the seed rectangle 405 of FIG. 4 .
- the origins 511 and 512 are bounded by the four vertices 501 through 504 of the seed rectangle 405 .
- one origin may correspond to a single vertex of the seed rectangle, or one origin may correspond to two adjacent vertices.
- the origins 511 and 512 may be located on the diagonals of the seed rectangle or on the diagonals which bisect the corresponding angle to form two 45 degree angles.
- diagonals define the locations of vertices of the loop antenna.
- the origin 511 is located on a diagonal, which bisects the 90 degree angle at the vertex 501 to form two 45 degree angles.
- the origin 511 is located on the intersection of the diagonals which bisect the angles at vertices 501 and 502 .
- the origin 512 is located at the intersection of the diagonals which bisect the angles at vertices 503 and 504 .
- S is a 4 by 2 matrix having nonzero elements only in the diagonal, i.e., S 11 and S 22 .
- S 11 is greater than or equal to S 22 .
- S 22 By replacing the value of S 11 with the value of S 22 , we can get a new 4 by 2 diagonal matrix ⁇ tilde over (S) ⁇ , where ⁇ tilde over (S) ⁇ 11 and ⁇ tilde over (S) ⁇ 22 , are equal to S 22 .
- ⁇ O k ⁇ includes only two different rows, corresponding to the origins 511 and 512 , within the i-th seed rectangle, as shown in FIG. 5 .
- the first seed vertex P 11 is determined by moving R 1 into its corresponding diagonal, which bisects the 90 degree angle at R 1 , toward the inside of the i-th seed rectangle.
- V R 14 ⁇ ⁇ V R 14 ⁇ ⁇ to the unit vector of ⁇ right arrow over (V R 12 ) ⁇
- V R 12 ⁇ ⁇ V R 12 ⁇ ⁇ a vector having a direction in line with the respective diagonal line, which bisects the 90 degree angle at R 1 to form two 45 degree angles, is obtained, where the symbol “ ⁇ ⁇ ” represents a magnitude of the vector inside of the symbol “ ⁇ ⁇ ”. Then, the first seed vertex P 11 is obtained by the following equation:
- respective intersecting points T k between the origins O k and the boundary of the substrate, when the respective diagonals ⁇ right arrow over (Diag k ) ⁇ are projected from the origins O k are calculated and identified, as shown, for example, in FIG. 9 .
- the intersecting points T k can be found using multiple conventional approaches. When the intersecting points T k are found, the following relationship is satisfied:
- V ⁇ V ⁇ M 2 ensures that the last vertex P Nk of the N-th loop is distant from the intersecting point T k .
- V layout_k -long linear portion starting from P 1k is used to distribute (N ⁇ 1) vertices between P 1k and T k .
- the fourth group includes P 14 , P 24 , . . . , and P N3
- the fourth group includes P 14 , P 24 , . . . , and P N4 .
- P 3k and P Nk are in the same k-th group and are corresponding vertices
- P 33 and P 42 are not in the same group and cannot be corresponding vertices.
- the distance between P jk and P (j+1)k is set to be greater than the distance between P (j ⁇ 1)k and P jk , where j is 2 to N ⁇ 1 and k is 1 to 4.
- the distance between two adjacent corresponding vertices is increasing toward the boundary of the substrate.
- arithmetic progression may be employed to distribute remaining vertices in each group.
- each vertex in the k-th group is positioned on the linear portion connecting T k and P 1k and the total length between P Nk and P 1k is less than or equal to the vertex-layout-distance, V layout_k .
- V layout_k the vertex-layout-distance
- the planar antenna vertices are positioned along the respective diagonal line based on the respective distances between adjacent pairs of planar antenna vertices determined at block 305 .
- the diagonal line index i diagonal is compared to the number of diagonal lines, namely four, of the seed rectangle to determine whether the procedures of block 305 and block 306 are to be repeated for additional diagonal lines of the respective antenna. If it is determined at block 307 that i diagonal is less than the number of diagonal lines, then at block 308 i diagonal is incremented by one to correspond to the next diagonal line (for example, the second diagonal line) of the four diagonal lines of the seed rectangle. Then the procedures of block 305 and block 306 are repeated for that next diagonal line in the manner described above.
- VVM vertex to vertex distance
- ⁇ right arrow over (Diag k ) ⁇ are arranged at the origin (0, 0), they form a cross indicating that they form four 90 degree angles as shown in the middle of FIG. 7 .
- a temporary distance D p2to5 is initialized as the value of TCCM.
- Vectors ⁇ right arrow over (V P 32 ) ⁇ , ⁇ right arrow over (P′ 22 temp ) ⁇ , and ⁇ right arrow over (V P 22 temp ) ⁇ are defined by the following:
- P 21 ′ ⁇ P 11 ⁇ + VVM ⁇ Diag 1 ⁇ ⁇ Diag 1 ⁇ ⁇ . ( 13 )
- temporary vertex P′ 21 is distant from P 11 by ⁇ square root over (2) ⁇ TCCM in a direction of the diagonal ⁇ right arrow over (Diag 1 ) ⁇ toward outside of the i-th seed rectangle.
- a planar antenna layout is generated by interconnecting the planar antenna vertices by way of respective straight linear portions to form multiple loops (e.g., N loops) that sequentially traverse each of the plurality of diagonal lines of the respective planar antenna.
- Each of the loops includes multiple straight linear portions and multiple planar antenna vertices, namely four straight linear portions and four planar antenna vertices, in a case where the seed shape is a seed rectangle.
- the first loop of each loop antenna such as the loop antenna shown in FIG.
- 11 includes four vertices (i.e., P 11 , P 12 , P 13 , and P 14 ) and four linear portions (i.e., L 11 connecting between P 11 and P 12 , L 12 connecting P 12 and P 13 , L 13 connecting P 13 and P 14 , and L 14 connecting P 14 and P 21 ); . . .
- the (N ⁇ 1)-th loop includes four vertices (i.e., P (N-1)1 , P (N-1)2 , P (N-1)3 , and P (N-1)4 ) and four linear portions (i.e., L (N-1)1 connecting between P (N-1)1 and P (N-1)2 , L (N-1)2 connecting P (N-1)2 and P (N-1)3 , L (N-1)3 connecting P (N-1)3 and P (N-1)4 , and L (N-1)4 connecting P (N-1)4 and P N1 ) (for clarity, not labeled in FIG.
- FIG. 11 shows a design for a loop antenna that includes a plurality of loops, which is designed according to the procedure 300 .
- multiple additional straight linear portions are routed from at least two of the planar antenna vertices (in particular, from the two terminal antenna vertices located at the two ends, respectively, of the linear planar antenna layout) to one or more connector locations with respect to the coordinate system of the substrate.
- the multiple additional straight linear portions are added to the planar antenna layout.
- the planar antenna layouts may be routed to a single connector location, or to separate connector locations corresponding to each antenna, respectively, or to any combination of connectors.
- the antenna index i antenna is compared to the number of antennas M of the antenna assembly to determine whether the procedures of block 302 through block 313 are to be repeated for additional antennas of the antenna assembly. If it is determined at block 314 that i antenna is less than the number of antennas M, then at block 315 i antenna is incremented by one to correspond to the next antenna (for example, the second antenna) of the M antennas of the antenna assembly. Then the procedures of block 302 through block 313 are repeated for that next antenna in the manner described above.
- FIG. 12 shows designs for six loop antennas, which can be designed in accordance with the procedure 300 .
- each loop based on the seed shape can be expressed with a definite mathematical equation, such as a Cartesian equation or a parametric equation, such that the strength of an EM field generated by each loop can be calculated by the Biot-Savart-Laplace law at any point in space based on the mathematical equation.
- the need to generate and employ a detailed electromagnetic field mapping can be avoided by instead enabling an electromagnetic field mapping to be theoretically computed based on the characteristics of the antenna assembly.
- the computed electromagnetic field mapping can then be employed either alone or in conjunction with a more easily generated low-density electromagnetic field mapping obtained from measurements.
- the antenna assembly designed according to the procedure 300 can serve as the basis upon which to generate an accurate high-density theoretical electromagnetic field mapping for EMN, without having to use expensive measuring equipment and without having to perform time-consuming and laborious measurements.
- an antenna assembly can be efficiently and designed in a repeatable manner based on a few design parameters and/or constraints, such as a seed shape, a number of loops, a TCCM, and/or the like.
- Each of the antennas of the designed antenna assembly can be printed, deposited, or fabricated on a respective substrate layer and can be used as the EM field generator 145 of the EMN system 100 of FIG. 1 .
- electromagnetic fields generated by each linear portion can be theoretically and accurately calculated using the Biot-Savart-Laplace law at any point in the EM volume.
- FIG. 13 shows a graphical illustration of a loop antenna layout designed by the method 300 of FIG. 3 .
- additional layout may be automatically generated based on a few design rules in place related to trace length and routing directionality. These rules may be specific to a PCB software program or design requirements.
- the antenna design made by the method 300 may be converted to a 2 dimensional DXF (Drawing eXchange Format) CAD file, which is then imported into Altium PCB layout software.
- DXF Digital eXchange Format
- PCB layout software is not limited to Altium PCB layout software but can be any software, which a person having ordinary skill in the art would readily appreciate and use.
- vertices P 11 and P N4 are electrically coupled to a connector 1301 , which includes at least two conductors 1301 a , 1301 b of the loop antenna, respectively, and a full blueprint of the loop antenna is complete.
- vertices of the loop antenna can be grouped in four groups.
- the first group of vertices includes P 11 , P 21 , . . . , and P N1
- the second group of vertices includes P 12 , P 22 , . . . , and P N2
- the third group of vertices includes P 13 , P 23 , . . . , and P N3
- the fourth group of vertices includes P 14 , P 24 , . . . , and P N4 .
- V layout_k is different for each group, one group of vertices may be more densely distributed than the other groups of vertices. As shown in FIG. 13 , vertices in the fourth group are more loosely distributed than vertices in the other groups, and the vertices in the second or third group are more densely distributed than vertices in the first and fourth groups.
- the shortest distance between two corresponding linear portions increases as j increases.
- the distances between two adjacent corresponding linear portions are increasing in a direction from the innermost linear portion to the corresponding outermost linear portion.
- another safety measure may be employed to confirm that all the requirements are satisfied in the antenna design. For example, shortest distances between two adjacent corresponding linear portions may be calculated again. In a case when there are any two adjacent corresponding linear portions, between which the shortest distance is not greater than TCCM, the procedure 300 can be repeated with a different minimum vertex to vertex distance VVM.
- the design procedure 300 can enable maintaining substantially the same inductance of each loop antenna because the inductance is defined based at least in part on the antenna geometry.
- the resistance of the loop antenna may vary with copper thickness on each layer.
- two additional layers one on the top and the other on the bottom are added. With these extra layers, the plating processing for the vias would not add copper to the antenna layers on the internal layers.
- the copper thickness may depend only on the core material used and copper weight selected, initially.
- the PCB design may contain more than a single via for each current carrying path to minimize series resistance and increase the robustness of each current path. By having more vias, the resistance can be predicted and automatically calculated with high accuracy based on the antenna geometry and controlled copper thickness.
- FIG. 14 there is shown a block diagram of a computing device 1400 , which can be used as the EMN system 100 , the control workstation 102 , the tracking device 160 , a computer performing the procedure 300 of FIG. 3 , and/or a controller for gantry table 1560 of FIGS. 15 A and 15 B .
- the computing device 1400 may include one or more of each of the following components: a memory 1402 , a processor 1404 , a display 1406 , network interface controller 1408 , an input device 1410 , and/or an output module 1412 .
- examples of computer readable storage media include non-transitory, volatile and non-volatile, removable and non-removable media implemented in any method or technology for storage of information such as computer-readable instructions, data structures, program modules or other data.
- computer-readable storage media may include RAM, ROM, EPROM, EEPROM, flash memory or other solid state memory technology, CD-ROM, DVD, Blu-Ray or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to store the desired information and which can be accessed by the computing device 1400 .
- the memory 1402 may store application 1416 and/or data 1414 .
- the application 1416 may, when executed by the processor 1404 , cause the display 1406 to present user interface 1418 on the display 1406 .
- the processor 1404 may be a general purpose processor, a specialized graphic processing unit (GPU) configured to perform specific graphics processing tasks while freeing up the general purpose processor to perform other tasks, a programmable logic device such as a field programmable gate array (FPGA) or complex programmable logic device (CPLD), and/or any number or combination of such processors or devices configured to work independently or cooperatively.
- GPU graphic processing unit
- FPGA field programmable gate array
- CPLD complex programmable logic device
- the display 1406 may be touch-sensitive and/or voice-activated, enabling the display 1406 to serve as both an input and output device.
- a keyboard not shown
- mouse not shown
- other data input devices may be employed.
- the network interface 1408 may be configured to connect to a network, such as a local area network (LAN) including a wired network and/or a wireless network, a wide area network (WAN), a wireless mobile network, a Bluetooth network, and/or the Internet.
- a network such as a local area network (LAN) including a wired network and/or a wireless network, a wide area network (WAN), a wireless mobile network, a Bluetooth network, and/or the Internet.
- LAN local area network
- WAN wide area network
- wireless mobile network such as a Wi-Fi Protectet Access (WPA)
- Bluetooth network such as Wi-Fi Protectet Access (WPA)
- the computing device 1400 may receive design requirements and predetermined variables and perform the procedure 300 of FIG. 3 to design an antenna assembly.
- the computing device 1400 may receive updates to its software, for example, application 1416 , via the network interface controller 1408 .
- the computing device 1400 may also display notifications on the display 1406 that a software update is available.
- the computing device 1400 may receive computed tomographic (CT) image data of a patient from a server, for example, a hospital server, Internet server, or other similar servers, for use during surgical planning.
- CT image data may also be provided to the computing device 1400 via a removable memory (not shown in FIG. 14 ).
- Input device 1410 may be any device by means of which a user may interact with the computing device 1400 , such as, for example, a mouse, keyboard, foot pedal, touch screen, and/or voice interface.
- Output module 1412 may include any connectivity port or bus, such as, for example, parallel ports, serial ports, universal serial busses (USB), or any other similar connectivity port known to those skilled in the art.
- connectivity port or bus such as, for example, parallel ports, serial ports, universal serial busses (USB), or any other similar connectivity port known to those skilled in the art.
- the application 1416 may be one or more software programs stored in the memory 1402 and executed by the processor 1404 of the computing device 1400 .
- one or more software programs in the application 1416 may be loaded from the memory 1402 and executed by the processor 1404 to automatically design loop antennas, given certain parameters and/or constraints, such as seed shape information, the number of loops in each loop antenna, and/or the like.
- one or more programs in the application 1416 guides a clinician through a series of steps to identify a target, size the target, size a treatment zone, and/or determine an access route to the target for later use during the navigation or procedure phase.
- one or more software programs in the application 1416 may be loaded on computing devices in an operating room or other facility where surgical procedures are performed, and is used as a plan or map to guide a clinician performing a surgical procedure, but without any feedback from the medical device used in the procedure to indicate where the medical device is located in relation to the plan.
- the application 1416 may be installed directly on the computing device 1400 , or may be installed on another computer, for example a central server, and opened on the computing device 1400 via the network interface 1408 .
- Application 1416 may run natively on the computing device 1400 , as a web-based application, or any other format known to those skilled in the art.
- the application 1416 will be a single software program having all of the features and functionality described in the present disclosure.
- the application 1416 may be two or more distinct software programs providing various parts of these features and functionality.
- the application 1416 may include one software program for automatically designing loop antennas, another one for converting the design into a CAD file, and a third program for PCB layout software program.
- the various software programs forming part of the application 1416 may be enabled to communicate with each other and/or import and export various data including settings and parameters relating to the design of the loop antennas.
- a design of a loop antenna generated by one software program may be stored and exported to be used by a second software program to convert into a CAD file, and the converted file may be also stored and exported to be used by a PCB layout software program to complete a blueprint of the loop antenna.
- the application 1416 may communicate with a user interface 1418 which generates a user interface for presenting visual interactive features to a user, for example, on the display 1406 and for receiving input, for example, via a user input device.
- user interface 1418 may generate a graphical user interface (GUI) and output the GUI to the display 1406 for viewing by a user.
- GUI graphical user interface
- the computing device 1400 may be linked to the monitoring device 130 , thus enabling the computing device 1400 to control the output on the monitoring device 130 along with the output on the display 1406 .
- the computing device 1400 may control the monitoring device 130 to display output which is the same as or similar to the output displayed on the display 1406 .
- the output on the display 1406 may be mirrored on the monitoring device 130 .
- the computing device 1400 may control the monitoring device 130 to display different output from that displayed on the display 1406 .
- the monitoring device 130 may be controlled to display guidance images and information during the surgical procedure, while the display 1406 is controlled to display other output, such as configuration or status information of an electrosurgical generator (not shown in FIG. 1 ).
- the application 1416 may include one software program for use during the planning phase, and a second software program for use during the navigation or procedural phase.
- the various software programs forming part of application 1416 may be enabled to communicate with each other and/or import and export various settings and parameters relating to the navigation and treatment and/or the patient to share information.
- a treatment plan and any of its components generated by one software program during the planning phase may be stored and exported to be used by a second software program during the procedure phase.
- FIGS. 15 A and 15 B are schematic illustrations of gantry table 1560 , upper CT scanner component 1540 , and lower CT scanner component 1530 , in combination with EMN system 1520 in different positions in accordance with an embodiment of the present disclosure.
- Upper CT scanner component 1540 and lower CT scanner component 1530 form in combination a CT scanner that scans along CT scan plane 1550 .
- a CT scanner may be useful during a surgical procedure.
- EMN system 1520 may also be useful during a surgical procedure, but it causes interference with, and/or is interfered with by, the CT scanner. Therefore, EMN system 1520 is housed in patient table housing 1510 , which is also equipped with gantry table 1560 .
- Gantry table 1560 is operable to move patient 1570 between upper CT scanner component 1540 and lower CT scanner component 1530 so that patient 1570 is bisected by CT scan plane 1550 , as shown in FIG. 15 A .
- Gantry table 1560 is further operable to move patient 1570 away from upper CT scanner component 1540 and lower CT scanner component 1530 , and onto EMN system 1520 so that patient 1570 may be scanned by EMN system 1520 , as shown in FIG. 15 B .
- FIGS. 16 A and 16 B are schematic illustrations of gantry table 1660 , upper CT scanner component 1540 , and lower CT scanner component 1530 , in combination with EMN system 1620 in different positions in accordance with an embodiment of the present disclosure.
- EMN system 1620 is moved beneath the surface of, or with, gantry table 1660 , and may be in CT scan plane 1550 when the CT scanner is not in use, and moved away from CT scan plane 1550 when the CT scanner is being used.
- patient table housing 1610 may move with EMN system 1620 and/or gantry table 1660 , or alternatively may be stationary with one or both of EMN system 1620 and gantry table 1660 moving relative to patient table housing 1610 .
- both the CT scanner and EMN system 1520 may be mobile, and may optionally move in tandem while the patient remains substantially motionless.
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Abstract
Description
-
- Pjk represents the k-th vertex of the j-th loop, where j is 1 to N and k is 1 to 4;
- Pjkx and Pjkz represent x-coordinate and z-coordinate of the vertex Pjk, respectively;
- {Pj1, Pj2, Pj3, Pj4} or simply {Pjk} is a 4 by 2 matrix having four vertices Pj1, Pj2, Pj3, Pj4 of the j-th loop as its rows;
- U represents a 4 by 4 matrix having orthonormal eigenvectors of {Pjk}{Pjk}T as its column;
- V represents a 2 by 2 matrix having orthonormal eigenvectors of {Pjk}T{Pjk} as its column; and
- S represents a 4 by 2 matrix, whose nonzero elements are located only at its diagonal and are square root of eigenvalues of {Pjk}{Pjk}T or {Pjk}T{Pjk}; and
- {tilde over (S)} represents a 4 by 2 matrix, whose nonzero elements are located only at its diagonal and are equal to the smallest nonzero element of S.
By performing singular value decomposition on the centroid-subtracted four vertices Rj, S, V, and D matrices are obtained as follows:
USV T ={R k −C} (2),
where {Rk−C} is a 4 by 2 matrix, each row of {Rk−C} is the centroid-subtracted vertex (Rkx−Cx, Rkz−Cz), and k is 1 to 4.
{O k }={R k }−U{tilde over (S)}V T (3).
Because the diagonal entries of {tilde over (S)} are the minimum values of the diagonal entries of S, {Ok} includes only two different rows, corresponding to the origins 511 and 512, within the i-th seed rectangle, as shown in
{right arrow over (V R
{right arrow over (V R
where {right arrow over (Rk )} is a vector pointing toward Rk from the respective origin Ok, {right arrow over (VR
to the unit vector of {right arrow over (VR
a vector having a direction in line with the respective diagonal line, which bisects the 90 degree angle at R1 to form two 45 degree angles, is obtained, where the symbol “∥ ∥” represents a magnitude of the vector inside of the symbol “∥ ∥”. Then, the first seed vertex P11 is obtained by the following equation:
where {right arrow over (P11)} is a vector originating from the respective origin O1 and thus represents a coordinate of P11.
where {right arrow over (OkTk)} is a vector from the origin Ok to the intersecting point Tk. In other words, vector {right arrow over (OkTk)} has the same direction as the diagonal vector {right arrow over (Diagk)}.
The subtracting term,
ensures that the last vertex PNk of the N-th loop is distant from the intersecting point Tk. In other words, only a Vlayout_k-long linear portion starting from P1k is used to distribute (N−1) vertices between P1k and Tk.
∥{right arrow over (P jk P (j+1)k)}∥=d jk (16),
d jk=slopek×(j−1)+d 1k (17), and
d 1k =VVM (18),
where ∥{right arrow over (PjkP(j+1)k)}∥ represents a distance between vertices Pjk and P(j+1)k, slopek is a constant for the k-th group, which is the common difference between two distances djk and d(j+1)k, and j is 1 to (N−2). Thus, each vertex in the k-th group is positioned on the linear portion connecting Tk and P1k and the total length between PNk and P1k is less than or equal to the vertex-layout-distance, Vlayout_k. In order to make an additional keepout area of half the minimum trace center to center (TCCM) spacing between the Tk and PNk, the following equation may be satisfied:
When equation (20) is solved for the constant, slopek, the following equation can be obtained:
When the equation (20) is combined with equations (16) and (17), the following equation is obtained:
In this way, the distance between two adjacent corresponding vertices Pjk and P(j+1)k increases as j increases. This progressive pattern between corresponding vertices is shown in
{right arrow over (Diagk)}={right arrow over (P 1k)}−{right arrow over (O k)} (7),
where k is 1 to 4. When these diagonal vectors {right arrow over (Diagk)} are arranged at the origin (0, 0), they form a cross indicating that they form four 90 degree angles as shown in the middle of
Temporary vertex P′22 is defined in a vector form as follows:
where the symbol “·” is a dot product between two vectors. In short, temporary vertex P′22 is distant from P12 by √{square root over (2)}×TCCM in a direction of the diagonal {right arrow over (Diag2)} toward outside of the i-th seed rectangle. Next, VVM is temporarily initialized with the following equation:
VVM=∥{right arrow over (P′ 22)}−{right arrow over (P 12)}∥ (12).
Temporary vertex P′21 is defined in a vector form as follows:
As with P′22, temporary vertex P′21 is distant from P11 by √{square root over (2)}×TCCM in a direction of the diagonal {right arrow over (Diag1)} toward outside of the i-th seed rectangle.
Claims (7)
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| US17/276,901 US12369866B2 (en) | 2018-12-05 | 2019-12-03 | Electromagnetic navigation assembly and computed tomography scanner patient table, surgery system including the same, and method using the same |
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| US201862775575P | 2018-12-05 | 2018-12-05 | |
| US17/276,901 US12369866B2 (en) | 2018-12-05 | 2019-12-03 | Electromagnetic navigation assembly and computed tomography scanner patient table, surgery system including the same, and method using the same |
| PCT/US2019/064115 WO2020117726A1 (en) | 2018-12-05 | 2019-12-03 | Electromagnetic navigation assembly and computed tomography scanner patient table, surgery system including the same, and method using the same |
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- 2019-12-03 EP EP19828022.4A patent/EP3890585B1/en active Active
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- 2019-12-03 CN CN201980080810.3A patent/CN113164032A/en active Pending
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| EP3890585B1 (en) | 2025-01-29 |
| US20210369215A1 (en) | 2021-12-02 |
| EP3890585A1 (en) | 2021-10-13 |
| WO2020117726A1 (en) | 2020-06-11 |
| CN113164032A (en) | 2021-07-23 |
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